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Krug C, Neuman M, Rosen JE, Weinberger M, Wallach S, Lagaay M, Punton M, Prakash A, Nsanya MK, Ayieko P, Kapiga S, Ajayi YP, Crawford EE, Tenaw E, Mussa M, Shrestha SK, Bottomley C, Hargreaves JR, Doyle AM. Effect and cost-effectiveness of human-centred design-based approaches to increase adolescent uptake of modern contraceptives in Nigeria, Ethiopia and Tanzania: Population-based, quasi-experimental studies. PLOS Glob Public Health 2023; 3:e0002347. [PMID: 37851610 PMCID: PMC10584105 DOI: 10.1371/journal.pgph.0002347] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 09/26/2023] [Indexed: 10/20/2023]
Abstract
Around half of adolescent pregnancies in low- and middle-income countries are unintended, contributing to millions of unsafe abortions per year. Adolescents 360 (A360), a girl-centred initiative, aimed to increase voluntary uptake of modern contraceptives among adolescents in Nigeria, Ethiopia and Tanzania. We evaluated the effectiveness and cost-effectiveness of A360 in increasing modern contraceptive use in selected geographies. We used before-and-after cross-sectional studies of adolescent girls in four settings. Two Nigerian settings had purposefully selected comparison areas. Baseline and endline household surveys were conducted. The primary study outcome was modern contraceptive prevalence rate (mCPR). Secondary outcomes mapped onto the A360 Theory of Change. Interpretation was aided by a process evaluation along with secular mCPR trends and self-reported A360 exposure data. Incremental design and implementation costs were calculated from implementer systems, site visits, surveys, and interviews. mCPR change was modelled into maternal disability-adjusted life years (DALY) averted to calculate incremental cost-effectiveness ratios. In Oromia, Ethiopia, mCPR increased by 5% points (95% CI 1-10; n = 1,697). In Nigeria, there was no evidence of an effect of A360 on mCPR in Nasarawa (risk ratio: 0·96, 95% CI: 0·76-1·21; n = 5,414) or in Ogun (risk ratio: 1·08, 95% CI: 0·92-1·26; n = 3,230). In Mwanza, Tanzania, mCPR decreased by 9% points (-17 to -0.3; n = 1,973). Incremental cost per DALY averted were $30,855 in Oromia, $111,416 in Nasarawa, $30,114 in Ogun, and $25,579 in Mwanza. Costs per DALY averted were 14-53 times gross domestic product per capita. A360 did not lead to increased adolescent use of modern contraceptives at a population level, except in Oromia, and was not cost-effective. This novel adolescent-centred design approach showed some promise in addressing the reproductive health needs of adolescents, but must be accompanied by efforts to address the contextual drivers of low modern contraceptive use.
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Affiliation(s)
- Catarina Krug
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Melissa Neuman
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
- MRC International Statistics and Epidemiology Group, London, United Kingdom
| | | | | | | | | | | | - Annapoorna Prakash
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Mussa Kelvin Nsanya
- Mwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania
| | - Philip Ayieko
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
- MRC International Statistics and Epidemiology Group, London, United Kingdom
- Mwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania
| | - Saidi Kapiga
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
- Mwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania
| | | | | | | | | | - Som Kumar Shrestha
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Christian Bottomley
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
- MRC International Statistics and Epidemiology Group, London, United Kingdom
| | - James R. Hargreaves
- Department of Public Health, Environment and Society Research, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Aoife Margaret Doyle
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
- MRC International Statistics and Epidemiology Group, London, United Kingdom
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Marasco E, Mussa M, Motta F, Bobbio-Pallavicini F, Maserati R, Montecucco C, Bogliolo L. Denosumab for the treatment of HIV-associated osteoporosis with fractures in a premenopausal woman. Reumatismo 2021; 73:54-58. [PMID: 33874648 DOI: 10.4081/reumatismo.2021.1358] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Accepted: 11/29/2020] [Indexed: 11/23/2022] Open
Abstract
The prevalence of osteoporosis is about three times greater in people living with HIV than in the general population. Bisphosphonates are the only class of antiresorptive drugs which have proved to be safe and effective in HIV patients. However, bisphosphonates are not recommended in women of childbearing age due to an increased rate of associated neonatal complications. To the best of our knowledge no reports on the use of denosumab in HIV-infected individuals have been published so far. We describe a 38 year-old woman with HIV, osteoporosis and vertebral fractures treated with denosumab, a monoclonal antibody targeting RANKL. After four years of treatment, bone mineral density improved, no new fractures occurred, and neither HIV reactivation nor opportunistic infections were observed. We show that denosumab could be a safe and effective approach for osteoporosis in patients with HIV and could be considered in women of childbearing age.
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Affiliation(s)
- E Marasco
- Unit of Rheumatology, Policlinico San Matteo IRCCS Foundation, University of Pavia.
| | - M Mussa
- Infectious Disease Department, Policlinico San Matteo IRCCS Foundation, Pavia.
| | - F Motta
- Unit of Rheumatology, Policlinico San Matteo IRCCS Foundation, University of Pavia.
| | - F Bobbio-Pallavicini
- Unit of Rheumatology, Policlinico San Matteo IRCCS Foundation, University of Pavia.
| | - R Maserati
- Infectious Disease Department, Policlinico San Matteo IRCCS Foundation, Pavia.
| | - C Montecucco
- Unit of Rheumatology, Policlinico San Matteo IRCCS Foundation, University of Pavia.
| | - L Bogliolo
- Unit of Rheumatology, Policlinico San Matteo IRCCS Foundation, University of Pavia.
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Atchison CJ, Cresswell JA, Kapiga S, Nsanya MK, Crawford EE, Mussa M, Bottomley C, Hargreaves JR, Doyle AM. Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data. Reprod Health 2019; 16:6. [PMID: 30665470 PMCID: PMC6341518 DOI: 10.1186/s12978-019-0666-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Accepted: 01/07/2019] [Indexed: 11/13/2022] Open
Abstract
Background Adolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, fertility and contraceptive use characteristics of married women aged 15 to 19 years living in three sub-national settings. Methods Cross-sectional baseline surveys of married women aged 15 to 19 years were conducted in Oromia (Ethiopia), Nasarawa (Northern Nigeria), and Mwanza (Tanzania) between August 2017 and February 2018. We also interviewed the husbands of a sub-group of married respondents to measure spousal acceptance and support for adolescent women to use modern contraception. A clustered sampling design was used in all three countries. We produced descriptive statistics on the socio-demographic and sexual and reproductive health characteristics of married women aged 15 to 19 years by study setting. Results In Oromia, Nasarawa and Mwanza, 31.4% (327/1198), 27.4% (1321/4816) and 7.5% (15/201) of married women surveyed had no education, and 68.3, 81.3 and 83.1% had ever been pregnant, respectively. Unmet need for modern contraception was 20.5, 21.9 and 32.0% in married women in Oromia, Nasarawa and Mwanza, made up almost entirely of unmet need for spacing. The vast majority of married women surveyed in Oromia (89.1%) and Mwanza (90.1%) had seen or heard about contraception in the last 12 months, compared to 30.1% of those surveyed in Nasarawa. Modern contraceptive prevalence (mCPR) was highest in married women aged 15 to 19 years in Oromia (47.2%), followed by Mwanza (19.4%) and Nasarawa (8.7%). Of those using a modern method of contraception in Oromia, 93.4% were using injectables or long-acting methods, compared to 49.4% in Nasarawa and 69.6% in Mwanza. Conclusions Overall, unmet need for modern contraception is high among married women aged 15 to 19 years across the three settings. mCPR for married women aged 15 to 19 years is low in Nasarawa and Mwanza. Ultimately, no single intervention will suit all situations, but improving the quality, analyses and utilisation of subnational data can help decision-makers design more context specific interventions.
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Affiliation(s)
- Christina J Atchison
- London School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK.
| | - Jenny A Cresswell
- London School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK
| | - Saidi Kapiga
- London School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK.,Mwanza Intervention Trials Unit, Mwanza, Tanzania
| | | | | | | | - Christian Bottomley
- London School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK
| | - James R Hargreaves
- London School of Hygiene and Tropical Medicine, Department of Social and Environmental Health Research, London, UK
| | - Aoife M Doyle
- London School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology Group, London, UK
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Atchison CJ, Mulhern E, Kapiga S, Nsanya MK, Crawford EE, Mussa M, Bottomley C, Hargreaves JR, Doyle AM. Evaluating the impact of an intervention to increase uptake of modern contraceptives among adolescent girls (15-19 years) in Nigeria, Ethiopia and Tanzania: the Adolescents 360 quasi-experimental study protocol. BMJ Open 2018; 8:e021834. [PMID: 29858422 PMCID: PMC5988138 DOI: 10.1136/bmjopen-2018-021834] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
INTRODUCTION Nigeria, Ethiopia and Tanzania have some of the highest teenage pregnancy rates and lowest rates of modern contraceptive use among adolescents. The transdisciplinary Adolescents 360 (A360) initiative being rolled out across these three countries uses human-centred design to create context-specific multicomponent interventions with the aim of increasing voluntary modern contraceptive use among girls aged 15-19 years. METHODS The primary objective of the outcome evaluation is to assess the impact of A360 on the modern contraceptive prevalence rate (mCPR) among sexually active girls aged 15-19 years. A360 targets different subpopulations of adolescent girls in the three countries. In Northern Nigeria and Ethiopia, the study population is married girls aged 15-19 years. In Southern Nigeria, the study population is unmarried girls aged 15-19 years. In Tanzania, both married and unmarried girls aged 15-19 years will be included in the study. In all settings, we will use a prepopulation and postpopulation-based cross-sectional survey design. In Nigeria, the study design will also include a comparison group. A one-stage sampling design will be used in Nigeria and Ethiopia. A two-stage sampling design will be used in Tanzania. Questionnaires will be administered face-to-face by female interviewers aged between 18 and 26 years. Study outcomes will be assessed before the start of A360 implementation in late 2017 and approximately 24 months after implementation in late 2019. ETHICS AND DISSEMINATION Findings of this study will be widely disseminated through workshops, conference presentations, reports, briefings, factsheets and academic publications.
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Affiliation(s)
| | | | - Saidi Kapiga
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
- Mwanza Intervention Trials Unit, Mwanza, Tanzania
| | | | | | | | - Christian Bottomley
- MRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK
| | - James R Hargreaves
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, UK
| | - Aoife Margaret Doyle
- MRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK
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Teka H, Madakadze I, Hassen A, Angassa A, Mussa M. Impacts of a mineral lick-centred land use system on woody vegetation cover in an East African Savannah. Afr J Ecol 2018. [DOI: 10.1111/aje.12503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Habtamu Teka
- Department of Animal and Range Science; University of Madda Walabu; Bale-Robe Ethiopia
| | - I.C. Madakadze
- Department of Plant Production and Soil Science; University of Pretoria; Pretoria South Africa
| | - Abubeker Hassen
- Department of Animal and Wildlife Science; University of Pretoria; Pretoria South Africa
| | - Ayana Angassa
- Department of Animal Science and Production; Botswana University of Agriculture and Natural Resources; Gaborone Botswana
| | - Mohammed Mussa
- Department of Animal and Range Science; University of Madda Walabu; Bale-Robe Ethiopia
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Jeffery J, Stirling E, Al-Hadad I, Mussa M, Auld J, West S. Understanding and application of the glasgow coma scale amongst health care professionals caring for patients with traumatic head injury. Int J Surg 2015. [DOI: 10.1016/j.ijsu.2015.07.526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Mussa M, Preux PM, Debrock C, Chazot-Balcon M, Melaku Z, Druet-Cabanac M, Kayembe K, Dumas M. [HIV-1 cognitive and motor syndrome]. Sante 1997; 7:187-93. [PMID: 9296810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The central nervous system (CNS) is often affected by HIV-1 infection. Over 40% of AIDS cases present with neurological symptoms and CNS lesion are detected by anatomical and pathological studies in 80 to 90% of AIDS cases. There may be infections and tumors secondary to the immunodeficiency and pathologies may occur directly due to the neurotropism of the virus. Neurological problems associated with HIV-infection include encephalopathies, myelopathies, neuropathies and myopathies. HIV-1-induced encephalopathy may develop at any stages of HIV-1 infection and affects all risk groups equally. Its frequency worldwide is between 4 and 65% among individuals seropositive for HIV-1. The frequencies reported differ between studies due to differences in sampling methods, geographical factors, diagnostic criteria and investigative methods used. The pathogenesis of HIV-1-associated encephalopathy is not understood, but there are several hypotheses. The involvement of HIV-1 infected macrophages and microglial cells has been demonstrated. Indirect mechanisms such as release of lymphokines (tumor necrosis factor-TNF alpha- and interleukin-1) and neurotoxicity of the HIV envelope protein, gp 120, have also been suggested. This disorder is known as HIV-1-associated cognitive and motor syndrome. It presents clinically as a form of sub-cortical dementia with cognitive problems, motor deficits and behavioral disorders depending on the type and stage of HIV infection. The diagnosis can only be made after all other infections and tumors common in HIV-1 patients have been ruled out by appropriate investigations such as cerebrospinal fluid analysis, cerebral scan and magnetic resonance imaging. Electrophysiological studies, such as evoked responses and electroencephalograms, are particularly useful in its diagnosis. Anatomical examination shows diffuse paleness of the white matter, multi-nucleated giant cells and microglial nodes. Neuropsychological studies could be of value in diagnosis and in assessing the response to anti-retroviral treatment. There is currently no specific therapy for HIV-1-associated cognitive and motor syndrome. The use of new nucleoside analogue drugs in combination with existing drugs may provide new approaches to managing these patients.
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Affiliation(s)
- M Mussa
- Département de neurologie, Mont-Amba de l'Université de Kinshasa, République démocratique du Congo
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Maj M, Satz P, Janssen R, Zaudig M, Starace F, D'Elia L, Sughondhabirom B, Mussa M, Naber D, Ndetei D. WHO Neuropsychiatric AIDS study, cross-sectional phase II. Neuropsychological and neurological findings. Arch Gen Psychiatry 1994; 51:51-61. [PMID: 8279929 DOI: 10.1001/archpsyc.1994.03950010051007] [Citation(s) in RCA: 180] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
BACKGROUND The neuropsychological and neurological complications of HIV-1 infection and AIDS were explored within the cross-sectional phase of the WHO Neuropsychiatric AIDS Study. Special attention was devoted to the controversial issue of the prevalence and clinical significance of subtle cognitive deficits in asymptomatic seropositive subjects. METHODS A neuropsychological test battery validated for cross-cultural use, a structured interview for the diagnosis of dementia, a rating scale of functioning in daily living activities, and a neurological module were administered to representative samples of seropositive subjects and to matched seronegative controls living in the five geographic areas predominantly affected by the HIV-1 epidemic. Data are available for five centers. RESULTS The prevalence of global neuropsychological impairment was significantly increased in asymptomatic seropositive subjects compared with controls in only two centers. A significant effect of education on neuropsychological performance was observed among asymptomatic seropositive individuals. In the two African centers, low-education, but not high-education, asymptomatic seropositive persons had an impaired performance. The frequency of impaired functioning in daily living activities and of neurologic abnormalities was higher in symptomatic, but not in asymptomatic, seropositive subjects compared with controls in all centers. CONCLUSIONS These data suggest that the risk of subtle cognitive deficits may be increased in asymptomatic stages of HIV-1 infection. However, these deficits are not associated with neurologic changes and do not seem to affect subjects' social functioning.
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Affiliation(s)
- M Maj
- Division of Mental Health and Global Programme on AIDS, World Health Organization, Geneva, Switzerland
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Shaposhnikov Iug, Mussa M, Sarkisian AG, Kamenev IF, Nisar AS, Khomenko VA. [Correction of extensive defects of long bones by using bi- and multifocal distraction-compression osteosynthesis]. Khirurgiia (Mosk) 1990:3-6. [PMID: 2273842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Replacement of extensive defects in long bones on the basis of one or more osteotomies is analysed. The authors substantiate the principles and the new methods of +multifocal distraction-compression osteosynthesis which allow healing of the fracture to be combined with accelerated replacement of the bone defect. The errors, complications, and the results of treatment of 104 patients are discussed to evaluate the efficacy of the applied methods and confirm the drawn conclusions. Particular attention is paid to the significance of a complex of optimal mechanical and biological factors in the formation of the regenerative tissue in accelerated replacement of the bone defects on the basis of several osteotomies. It is shown that the advantage of the new variants of the methods of replacement of long tubular bones on the basis of several osteotomies consists in combination of the healing of open fractures with accelerated restoration of the length of the extremity.
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Gritsanov AI, Minnullin IP, Mussa M, Rakhman M. [The basic principles of the pathogenetic treatment of explosive mine wounds]. Voen Med Zh 1988:31-4. [PMID: 3195073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Mussa M, Gritsanov AI, Pinchuk VD, Rakhman M, Fomin NF. [Treatment of wounded patients with gun-shot diaphyseal fractures of the bones of the forearm]. Voen Med Zh 1988:30-4. [PMID: 3176394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Tkachenko SS, Averkiev VA, Safar A, Mussa M. [Implantable metallic osteosynthesis for treatment of open fractures of the extremities]. Voen Med Zh 1987:23-4. [PMID: 3433676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Gritsanov AI, Mussa M, Minnullin IP, Rakhman M. [System of pathogenetic treatment of gas-forming wound infection in mine-explosion and gunshot wounds]. Voen Med Zh 1987:24-7. [PMID: 3576997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Tkachenko SS, Averkiev VA, Gritsanov AI, Mussa M. [Functional method of treatment of open injuries of the joints]. Voen Med Zh 1985:39-42. [PMID: 4049773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Tkachenko SS, Kudinov GI, Abushenko VS, Rumiantsev VV, Mussa M. [Primary surgical treatment of open fractures of the femur]. Voen Med Zh 1982:23-6. [PMID: 7090226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Pecherskiĭ AG, Mussa M. [Treatment of the sequelae of diaphyseal and metaphyseal gunshot fractures of the humerus]. Ortop Travmatol Protez 1981:14-6. [PMID: 7290610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Mussa M, Rutskiĭ VV. [Filling of the bone cavities in treating chronic osteomyelitis (a review of the Soviet and foreign literature)]. Vestn Khir Im I I Grek 1978; 121:144-6. [PMID: 716134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Tkachenko SS, Mussa M, Rutskii VV. Electrical stimulation of artificial ossification of a muscle flap during plastic repair of a bone defect. Bull Exp Biol Med 1978. [DOI: 10.1007/bf00801366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Tkachenko SS, Mussa M, Rutskiĭ VV. [Artificial ossification of muscular flap after plastic surgery of the bone cavity under the effect of electric current]. Biull Eksp Biol Med 1978; 85:356-9. [PMID: 667330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Experiments in rabbits revealed that transplantation of a muscular flap on the central feeding pedicle in the tibis medullary canal and its electro-stimulation with direct microelectric current of 18-20 muA with the alternating polarity speeded up the process of reorganization of the muscular flap in the depth of which new osseous tissue was forming. Electrostimulation of osteogenesis in case of the muscular plastic transplantation promotes restoration of the anatomic integrity of the bone.
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Mussa M, Rutskiĭ VV. [Possibilities and peculiarities of plastic surgery of infected bone cavities using mineral, biological and biopolymer preparations (experimental studies)]. Ortop Travmatol Protez 1977:43-6. [PMID: 609432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Mussa M, Rutskiĭ VV. [Expediency of plastic surgery methods with osteomyelitic cavities]. Vestn Khir Im I I Grek 1977; 119:48-53. [PMID: 919217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The fitness of plaster filling, Schede's method, muscular pedicled autograft and of 3 biopolymeric compositions with the use of ultrasound for the grafting of bone cavities was tested in 206 experiments on dogs. The basic possibility of bone cavity filling with a biopolymeric composition was demonstrated.
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Tkachenko SS, Mussa M, Rutskiĭ VV. [Experience with ultrasound biopolymeric composition in treatment of chronic osteomyelitis]. Vestn Khir Im I I Grek 1977; 119:103-6. [PMID: 919167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Mussa M, Rutskiĭ VV. [Modeling of experimental osteomyelitis]. Ortop Travmatol Protez 1977:56-60. [PMID: 927787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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